SANAM MALLIK (NPI# 1801398441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801398441 |
| Entity Type | Individual |
| Full Name | SANAM MALLIK |
| Practice Address |
2600 N Wyatt Dr Tucson AZ 85712-6106 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5202748650 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2600 N WYATT DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401513 | Edith Proctor Bailey | Pediatrics | 2600 N Wyatt Dr, Children's Clinics, Tucson, AZ 85712-6106 | 2005-07-16 |
| 1245840255 | Anne Rebecca Aldrich | Physical Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2020-08-04 |
| 1144841149 | Rachel Kristine Fisher | Occupational Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2020-04-30 |
| 1962044818 | Amelia Clare Lanning | Physical Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-10-11 |
| 1114587250 | Lauren Schenk | Speech-Language Pathologist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-06-20 |
| 1730747569 | Brenden C Bagnoli | Audiologist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-06-05 |
| 1376000786 | Children's Clinics for Rehabilitative Services | Clinic/Center | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-02-22 |
| 1477020733 | Denali Anne Jepsen | Physical Therapist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2018-10-25 |
| 1598284176 | Caroline Ure Madsen | Speech-Language Pathologist | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2017-09-14 |
| 1154841328 | Keli Marie Perino | Dietitian, Registered | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809215 | Kayli Riesgo | Behavior Technician | 5656 E Grant Rd Ste 200, Tucson, AZ 85712-2210 | 2020-10-19 |
| 1205447653 | Anna Josephine Lessner | Behavior Technician | 4050 W Aerie Dr Unit 71, Tucson, AZ 85741-2223 | 2020-08-10 |
| 1932719424 | Allison Marques | Behavior Technician | 11710 E Golf Links Rd, Tucson, AZ 85730-5612 | 2020-08-09 |
| 1992314207 | Michael Kelly Haskins | Behavior Technician | 11485 W Massingale Rd, Tucson, AZ 85743-9404 | 2020-07-23 |
| 1235752080 | Morgan S Turner | Behavior Technician | 1030 N Camino Miramonte Apt 3, Tucson, AZ 85716-4205 | 2020-05-27 |
| 1699398255 | Kristina Marie Kiss | Behavior Technician | 7401 E Speedway Blvd Apt 21204, Tucson, AZ 85710-1594 | 2020-05-18 |
| 1891314811 | Austin Cromer | Behavior Technician | 5701 E Glenn St Apt 93, Tucson, AZ 85712-5223 | 2020-04-09 |
| 1720618721 | Jacqueline Marie Ciufo | Behavior Technician | 1200 N El Dorado Pl Ste 700, Tucson, AZ 85715-4670 | 2020-01-19 |
| 1538718523 | Ken Wagner | Behavior Technician | 5729 S 1st Ave, Tucson, AZ 85706-4408 | 2019-09-11 |
| 1881246767 | Heather Monique Dutton | Behavior Technician | 1 S Church Ave Ste 200, Tucson, AZ 85701-1620 | 2019-07-11 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on SANAM MALLIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.